# TRI CITY DENTAL CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396194338
- **Authorized official:** DR. ANTONIO LOPEZ-IBARRA DDS (DENTIST OWNER)
- **Authorized official phone:** (509) 579-0759

## Contact information

- **Practice address:** 3711 PLAZA WAY, STE 120, KENNEWICK, WA 99338-2718
- **Practice address phone:** (509) 579-0759
- **Mailing address:** 3711 PLAZA WAY, STE 120, KENNEWICK, WA 99338-2718
- **Mailing address phone:** (509) 579-0759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60487049 | WA | Yes |

## Other

- **Enumeration date:** 06/10/2016
- **Last updated:** 06/10/2016